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March 13, 2013America's Health Insurance Plans

  Top Stories 
  • Major bleeding raises post-PCI death risk, research finds
    Patients who had significant bleeding following percutaneous coronary intervention had a 12% greater risk of in-hospital mortality than those without bleeding, a study indicated. Bleeding is also associated with increased risk of stroke, heart attack and blood transfusion, as well as longer hospitalization, rehospitalization and greater hospital expenditures, researchers note. The findings were reported in the Journal of the American Medical Association. HealthDay News (3/12)
  • Regular aspirin use may reduce melanoma risk in older women
    U.S. researchers looked at data from the Women's Health Initiative involving almost 60,000 white women and found that those who took aspirin regularly were 21% less likely to develop melanoma than nonusers. The longer aspirin was used, the lower their risk, according to the study in the journal Cancer. The reduced risk could be attributed to the anti-inflammatory properties of aspirin, lead author Dr. Jean Tang said. (3/11), HealthDay News (3/11) LinkedInFacebookTwitterEmail this Story
New series: "Marketplaces—What You Need to Know, NOW!"
Discover what steps your organization can take immediately to help ensure Health Insurance Marketplace success! Register now: "The Five Things You Can Do Today to Prepare for HIMs" — March 20th at 12:00pm EST, hosted by Tom Scully, Senior Counsel, Alston & Bird, LLP & Stephanie Leftwich, DSTHS.
  Providers & Suppliers 
  • Poll finds decreasing satisfaction among EHR users
    The percentage of EHR users who said they are satisfied with the technology dropped 12% between 2010 and 2012, according to an analysis of multiple surveys involving 4,279 respondents by the American College of Physicians and AmericanEHR Partners. Issues tied to ease of use, workflows and patient care enhancement were cited as the biggest concerns surrounding EHRs. Healthcare Informatics online (3/11) LinkedInFacebookTwitterEmail this Story
  • AHA reports increased payment audits
    A survey by the American Hospital Association revealed an uptick in recovery and contractor audits among hospitals. Researchers said almost 60,000 medical record requests were processed since the last quarter, and nearly two-thirds of medical records assessed did not show an overpayment. Healthcare IT News (3/12) LinkedInFacebookTwitterEmail this Story
  Medical Update 
  • Study: PTSD patients show higher metabolic syndrome rates
    Data on 207,954 VA patients showed those with post-traumatic stress disorder had greater incidence of insulin resistance and metabolic syndrome compared with those who did not have a PTSD diagnosis. "This is a disorder that needs to be looked at and treated as a public health problem," said Dr. Ramin Ebrahimi, who discussed the findings at the American College of Cardiology meeting. Healio/Endocrine Today (3/11) LinkedInFacebookTwitterEmail this Story
  Emerging Trends 
  • New tool evaluates patients' readmission risks
    A new tool, called the IMRS-HF, was created by the Intermountain Heart Institute to boost health care delivery to patients with heart failure and avoid hospital readmissions within 30 days of discharge. "When implemented, this gives physicians an effective, real-time tool to help assure patients are in a healthy position for discharge," said Benjamin Horne, director of cardiovascular and genetic epidemiology at the Intermountain Heart Institute. Healthcare Finance News (3/11) LinkedInFacebookTwitterEmail this Story
  • Invendo gets FDA OK for single-use colonoscopy device
    Invendo medical has received 510(k) clearance from the FDA for its C20 colonoscopy device along with the company's SC20 colonoscope, a handheld tool designed to be used with computer-aided technology that will minimize stress on the colon wall. The devices have been installed for the first time in the U.S. at two facilities in New York. (3/11) LinkedInFacebookTwitterEmail this Story
  Health Insurance Plan Company News 
  Vendor Company News 
  Pharma News 
  • Drug boosts hemoglobin but not outcomes in heart failure study
    In patients with systolic heart failure and mild-to-moderate anemia, treatment with the erythropoiesis-stimulating agent Aranesp, or darbepoetin alfa, boosted hemoglobin levels but did not improve patient outcomes, according to a study in the New England Journal of Medicine. "Our findings suggest that the hemoglobin level, like other surrogates, is simply a marker of poor prognosis in heart failure rather than a therapeutic target," researchers said. Forbes (3/10) LinkedInFacebookTwitterEmail this Story
  Policy Watch 
Global Thinking, Plus the Details
Limited time and budgets? Institute combines globally-focused sessions with those that delve into the details of our changing health care system. From marketplace innovations and business strategy to payment reform, the consumer experience, and technology, you'll leave with information to confidently move toward 2014. Register Now.
  AHIP News 
  • ACO Summit: Addressing legal and compliance issues
    This unique event, May 15 at the Ronald Reagan Building and International Trade Center, Washington, D.C., will focus on the important role of independent physician practices in ACOs, legal and policy issues related to such participation, and cutting-edge examples of market approaches to such arrangements. If you're a small group practice, individual provider, or health plan considering participating in an ACO, don't miss this opportunity. Register today. LinkedInFacebookTwitterEmail this Story
  • Innovations in Medicaid managed care report released
    You'll be inspired when you read about programs from 16 health plans that are improving the health and well-being of Medicaid beneficiaries throughout the country. Programs focused on working with community partners, addressing obesity, and caring for people with complex needs are boosting health care quality and outcomes and helping beneficiaries live healthier lives. Click here for details. LinkedInFacebookTwitterEmail this Story
  • It's here: "AIS's Directory of Health Plans: 2013"
    Available in print or CD, "AIS's Directory of Health Plans: 2013" allows you to make smart decisions based on solid data. Use the directory to identify market trends, gain insight into health plan models, determine which networks may best serve for your organization, develop benchmarks, and more. Visit the AHIP Store to get your copy today. LinkedInFacebookTwitterEmail this Story
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Position TitleCompany NameLocation
Health Plan and Payor CounselKaiser PermanenteMultiple Locations, United States
Manager, Financial Controls and Commission Administration Geisinger Health PlanDanville, PA
Chief Operating OfficerHealth Alliance Medical PlansUrbana, IL
Contract Review and Compliance AttorneyAmerica's Health Insurance Plans (AHIP)Washington, DC
Director, Enterprise Data GroupThe Centers for Medicare and MedicaidWoodlawn, MD, MD
Manager, Payor RelationsThe joint CommissionOakbrook Terrace, IL
Vice President-Management and PerformanceUnited Health GroupNationwide, United States
Senior Director, Product Innovation and Development Cleveland Clinic Lyndhurst CampusCleveland, OH
Medicare Product ManagerRegence Portland, OR
Vice President, Network Development and Provider RelationsLouisiana Health Cooperative, Inc.New Orleans, LA
Associate Medical DirectorUCareMinneapolis, MN
Chief Executive OfficerLouisiana Health Cooperative, Inc.New Orleans, LA
Vice President, Clinical Care IntegrationLouisiana Health Cooperative, Inc.New Orleans, LA
Vice President and Chief Financial OfficerLouisiana Health Cooperative Inc. (LAHC)Metarie, LA
Vice President, Operations & Information TechnologyLouisiana Health Cooperative, Inc.New Orleans, LA
Integrated Market Medical ExecutiveKindred HealthcareLas Vegas, NV
Vice President, Provider Relations & CredentialingConfidentialWyomissing, PA
Vice President, Health Plan OperationsSatellite Health Plan, Inc.San Jose, CA
CAQH Managing Director, Finance and AdministrationCouncil for Affordable Quality HealthcareWashington, DC
Director of Product Management, UPDCouncil for Affordable Quality Healthcare (CAQH)Washington, DC
CAQH CORE Manager, Education, Outreach and Participant RelationsCouncil for Affordable Quality HealthcareWashington, DC
Click here to view more job listings.

Humor is an affirmation of dignity, a declaration of man's superiority to all that befalls him."
--Romain Gary,
French diplomat, novelist, film director and aviator

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